| National Provider Identifier [NPI]: | 1013917277 |
| Last Name Of The Provider | CEREJO |
| First Name Of The Provider | RUI |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7108 FAIRWAY DR |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | PALM BEACH GARDENS |
| Zip Code Of The Provider | 334183767 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 91 |
| Number Of Services | 86461.7 |
| Number Of Medicare Beneficiaries | 936 |
| Total Submitted Charge Amount | 2981396.04 |
| Total Medicare Allowed Amount | 2176169.23 |
| Total Medicare Payment Amount | 1678204.03 |
| Total Medicare Standardized Payment Amount | 1663924.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 20 |
| Number Of Drug Services | 80444.7 |
| Number Of Medicare Beneficiaries With Drug Services | 556 |
| Total Drug Submitted ChargeAmount | 2393582.04 |
| Total Drug Medicare AllowedAmount | 1777048.09 |
| Total Drug Medicare PaymentAmount | 1377501.34 |
| Total Drug Medicare Standardized Payment Amount | 1377501.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 71 |
| Number Of Medical Services | 6017 |
| Number Of Medicare Beneficiaries With Medical Services | 936 |
| Total Medical Submitted Charge Amount | 587814 |
| Total Medical Medicare Allowed Amount | 399121.14 |
| Total Medical Medicare Payment Amount | 300702.69 |
| Total Medical Medicare Standardized Payment Amount | 286423.04 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 51 |
| Number Of Beneficiaries Age 65 to 74 | 358 |
| Number Of Beneficiaries Age 75 to 84 | 357 |
| Number Of Beneficiaries Age Greater 84 | 170 |
| Number Of Female Beneficiaries | 720 |
| Number Of Male Beneficiaries | 216 |
| Number Of Non Hispanic White Beneficiaries | 861 |
| Number Of Black or African American Beneficiaries | 36 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 903 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 33 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 34 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.289 |